Maria Louison Vang1, Sabrina Brødsgaard Nielsen2, Mikkel Auning-Hansen3, Ask Elklit4. 1. Ulster University, School of Psychology and Psychology Research Institute and National Centre for Psychotraumatology, University of Southern Denmark, Odense, Denmark. Correspondence: m.vang@ulster.ac.uk. 2. Rehabilitation Center for Torture Survivors (RCT-Jutland), Haderslev, Denmark. sabrinafjorgensen@hotmail.com. 3. Rehabilitation Center for Torture Survivors (RCT-Jutland), Haderslev, Denmark. auning@gmail.com. 4. Rehabilitation Center for Torture Survivors (RCT-Jutland), Haderslev, Denmark. aelklit@health.sdu.dk.
Abstract
INTRODUCTION: The WHO has proposed posttraumatic stress (PTSD) and Complex PTSD (CPTSD) trauma-related sibling-disorders in ICD-11. The proposal has received support from research among clinical and community samples alike but only few studies have tested the validity of these disorders in a sample of refugees using the International Trauma Questionnaire especially designed for assessment of ICD-11 PTSD and CPTSD. METHODS: Latent class analysis was used to test the validity of the ICD-11 PTSD and CPTSD distinction in a heterogeneous group of 284 highly symptomatic refugees registered for treatment at a Danish treatment-center. RESULTS: A two-class solution fit the data best. One group reported elevated levels of PTSD-symptoms and symptoms of affective dysregulation, and one group reported elevated levels of symptoms corresponding to CPTSD. The CPTSD group was considerably larger than the PTSD-group. DISCUSSION: The current study supports the ICD-11 distinction between PTSD and CPTSD in a sample of treatment-seeking refugees. The assistance of interpreters was needed for some of the participants which affected the reliability of the assessment. CONCLUSION: The ICD-11 proposal for PTSD and CPTSD is supported in a heterogenous sample of refugees using the ITQ.
INTRODUCTION: The WHO has proposed posttraumatic stress (PTSD) and Complex PTSD (CPTSD) trauma-related sibling-disorders in ICD-11. The proposal has received support from research among clinical and community samples alike but only few studies have tested the validity of these disorders in a sample of refugees using the International Trauma Questionnaire especially designed for assessment of ICD-11 PTSD and CPTSD. METHODS: Latent class analysis was used to test the validity of the ICD-11 PTSD and CPTSD distinction in a heterogeneous group of 284 highly symptomatic refugees registered for treatment at a Danish treatment-center. RESULTS: A two-class solution fit the data best. One group reported elevated levels of PTSD-symptoms and symptoms of affective dysregulation, and one group reported elevated levels of symptoms corresponding to CPTSD. The CPTSD group was considerably larger than the PTSD-group. DISCUSSION: The current study supports the ICD-11 distinction between PTSD and CPTSD in a sample of treatment-seeking refugees. The assistance of interpreters was needed for some of the participants which affected the reliability of the assessment. CONCLUSION: The ICD-11 proposal for PTSD and CPTSD is supported in a heterogenous sample of refugees using the ITQ.
Authors: Maria Louison Vang; Sarah Bøgelund Dokkedahl; Sille Schandorph Løkkegaard; Anne Vagner Jakobsen; Lise Møller; Mikkel Albrecht Auning-Hansen; Ask Elklit Journal: Eur J Psychotraumatol Date: 2021-03-30